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Home My WebLink AboutPermit Building 2004-6-23 Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00666 ISSUED: 06/23/2004 APPLIED: 06/07/2004 EXPIRES: 12/23/2004 VALUE: $ 30,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2073 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703254201100 Springfield TYPE OF WORK: Bank TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: Remodel Tenant Space # Ste. 104 - Additional Offices & Conf. Rm. for Citizens Bank Owner: NISSIM ALBERT ESTATE OF Address: 3871 DEER TRAIL LN DANVILLE CA 94506 Contractor BILL HUBEL GARY DAY - BENCHMARK ARCHITECTURi ,('"'C',, MCINTYRE CON~~U~ON INC 3550 JB ELECTRIC '\~ ~ ,'0 ~ 104929 COMFO~:&F~Q.W _ (,.\)~ 460 ~\..\.. ~~~'O '~\)~r' BillLDING INFORMATION I <". 'O~ f<.,~ &'r-~ oo,)'~~ # of Units: ~\fV'" Q...~'\ \::,~\j {O ';': # of Stories: . 0'" ~ ~'Eol,l'ize: Primary oc~~pancf.Griu~:~\)~ ~\)"Js Height of Structure o..~ 9:,0~ ",~~~!)Ist Floor: Secondary ~t}ia~?t:G,!;.<t); ~ <:?~ Type of Heat: ~~ \'00 d'; ~0 ~g1~i,~f1'd Floor: Primary Const~h't~o!,l,\'F~p.6J IIlhr Water Type: O~ 'I N ~ \.$00'" O.....'<'~q:Ft'~ement: Secondary Consttil~ioh.~pe: Range Type: O~e({, b'Q fo0 '"'~ . ~Sq Ft''Gar.ageJCarport ~,,\ ~e ~o ,:,~ 0' ,,,, ~' # of Bedrooms: 'r-" Energy Pat~~. oo~ -<; ~\o 'e'" eSq' ~-!.\Otner: Sprinkle't$'nl~l!ii'ie~e\,~,t;l '\) .ya~'e,~-O~~~nt Load: A'~... .~ r~ N _',(\ .^~ ..:\~....~ I DEVELOPMkoT iNfORMA -riON. 'j~o~ ~~~'liv ~,. ~-J '" "'. O'~ ~t;l REQUIRED PARKING ~o Olf' -.1.00,) eV e ,93 Overlay,p,stbt;l, ,~Q,~,o\'S' e\'''' # Street Tf.e~s8,&'d:~0\ ve~'\) Paved Drive R~l' % of Lot Coverage: Contractor Type Applicant Architect General Electrical Mechanical Frontyard Setback: Side 1 Setback: Side 2 Setback: Rcaryard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I License Expiration Date Phone 541-766-2247 541) 752-1939 541-687-2841 541-687-5770 541-726-0100 , 10/08/2007 03/14/2008 06/27/2004 Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Sidewalk Type: DownspoutslDralns: Paee 1 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review CommllndlPublic Plan Review Fire & Life Safety -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Clrc Ea Add Building Permit MisceUaneous Mechanical Plan Review CommllndlPublic Plan Review Fire & Life Safety SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Total Amount Paid Fire Department Review 06/11/2004 Initial Review 06/10/2004 Plan nine Review Public Works Review 06/11/2004 06/1112004 Structural Review 06/11/2004 Structural Review 06/21/2004 I Valuation Descrintinn , $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 30,000.00 Total Value of Project FpP~ tIiILI Amount Paid Date Paid $120.51 $74.16 $10.00 $34.77 $24.34 $43.00 $6.00 $253.65 $45.00 $44.36 $27.30 $10.00 $93.97 $138.02 $47.56 $578.19 $131.06 6/7/04 6/7/04 6/23/04 6/23/04 6123/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6/23/04 6123/04 6/23/04 6/23/04 $1,681.89 I Plan Reviews I 06/15/2004 OK 06/11/2004 APP 06/1112004 06/1112004 APP EMM APP SB 06/16/2004 WE JMP 06/22/2004 APP JMP Paee 2 00 . CITY OF ~rK11'1lj1<lELD Building/Combination Permit PERMIT NO: COM2004-00666 ISSUED: 06/23/2004 APPLIED: 06/07/2004 EXPIRES: 12123/2004 VALUE: $ 30,000.00 Value Date Calculated $30,000.00 $30,000.00 06/22/2004 Receipt Number 1200400000000000866 1200400000000000866 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 1200400000000000964 GRG See attached document for fire department plan review comments. Held at intake by Don Moore for Energy Forms. LLH SDCs for General Office space to SUPPORT a bank branch, not a BANK. No credit for preexisting use. Not occupied within 2 years. See attached structural review comments with 8 points faxed to both Gary A. Day and Justin Rotherham. . . CITY OF SPRIr\juN~LD Building/Combination Permit PERMIT NO: COM2004-00666 ISSUED: 06/23/2004 APPLIED: 06/07/2004 EXPIRES: .12/23/2004 VALUE: $ 30,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SUB Review 06/1112004 06/16/2004 WE JF JMP requested Building Envelope and Lighting Systems energy code forms from Gary A. Day. SUB Review 06/21/2004 06/21/2004 APP JF To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Rp.ouirp.d Tnsnp.ctions I SUB Final: After all required energy inspections have been requested and approved. SUB Ceiling Grid: Interior Lighting Framing Inspection: Prior to cover and after ail rough in inspections have been approved. Drywail: Prior to taping. Ceiling Grid: After drywail approval but prior to cover. Final Fire Department. After all requirements of the Fire Department have been met. Final Building: After ail required inspections have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When aU mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefuily examined the completed application and do hereby certify that ail information hereon is true and correct, and I further certify that any and ail work performed shall be done In accordance wilh the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree ure that all required inspections are requested at the proper time, that each address is readable from the street, th e pe ~'t car ~ t7 the front of the property, and the approved set of plans will remain on the site at ail timesdu, mg~m 'r _ .~f!" J :::::::::> r. - Z"]-:. Ol{ Owner or Contractors Signature Date Palle 3 of3 c:::-::::::xc:-,!r'::_D. s submitted has the following .~"'~.Ild\' . I raqulre,s'pilcfflc'land use ' 225..... '0 STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 . F'\llliJIeWIJ 26-3689 Ilfl ' ;^"" "" ELECTRICAL PERMIT APPUCATION Zoning vv ", l'._r '" City Job Number ~ 'ZC04.-cot06~ Date 6/8/04 Date (P - Q '5 -<D1f- ckl~ I. l LOCATION OF INSTALLATION 2073 Olvmnic Street LEGAL DESCRIPTION \\03 'L.S 4- L. 0 uoa JOB DESCRIPTION Add outlets - tenant infill Permio are non-transferable and expire if work is not started within 180 days of wnance or if work is Suspended for 180 days. 2. I CONnlAC1'OR INSTALLATION ONLY I Electrical Contractor 18 Electric. Inc, Address 4685 Isabelle Street City EUllene Phone 687-5770 Supervisor License Number 3782-5 \)~"+- Expiration Date 10/1/04 ",yl,:, ~ ,\$\\ ~~ \'; ~\ \";) ~ Constr. Contr. Number 3"].28.7'8\ Q~~/" ,,$ . ~\>.\...~ \'(\\.J fj\)'\'Y EXPirati~..m<:~;",toh704~\"J\:.fcCB~~929 3/14/08) \\\)~~ \,.' ~\i" ~ \'" S. "" \c 1...d,c\\ "j\'0\"J' 'gnafu., '~'.'ls,.iryc"J:lIiI ~ \"J~ 't: r OwnersNameE-<?1I"TJ::.. Ot==AL~l'-lISSIK Address 'L.O 1 =- 0 l.. "Y M.~IC- :::..- \ ~ CitP'f't2.1f'l:c.~~Lt> Phone Vr'\.<-l--\OaOt--\ OWNER INSTALLA nON The installation is being made on ",~,,_'.I I own which is not intended for sale, lease or rent. Owners Signature: Inspeetlon Request: 726-3769 3. I COMPLE1'E Fim'~~l...~B.I1UJW A. I New Residential- Single or Multi-Family per dwellinl! unit. Service Included 1000 sq. ft. or less Each additional 500 sq, ft, or portion thereof $106,00 $19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder ' $50,00 B. I Services or Feeden - installation. Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75,00 $125,00 $163.00 $375.00 $ 50,00 c. I Temporary Services or Feede" Installation, Alteration or Relocation 200 Amps or less $ 50,00 201 Amps to 400 Amps $ 69,00 401 Amps to 600 Amps $100.00 ,0 Over 600 Amps or 1000 Vo\t$l~~':.above, I 0u ,\.5.( f.,<?' D. Branch CircultJ C)~~ ,[00 ., \0 ~.... <"'" ~e'!J "'~ )jV l'\ New Alteratio!\# E~siojl'p~~'P Onecircuil~~P:'O'\~ \,s,0"'O'?-'?o e\~ <::,.<:0-0 $43.00 43,00 0/ EaCh,Maft~~~c8fi'l.9!I~~ f{ '0(' s~~J~':r:.~Jrt~\0<O ;s.e '0\j,\V~ $ 3.00 6,00'/ e~ ,.,,<0 ~~ J''' rP .~', .i~ .~' ~~~'4lJ:eellJf;~1Inclnded) -Each InstaD.tlon I \0 ~~~..fv'~'b-"1' ~~,.J' ~eQ;v r;:j?JJ' ~':~'P <ll:dR1~~e 0 ,!O<;:$ $ 50,00 ~~t#Re1'-ighl~\<O $ 50.00 Llmi~\)~~sidential $ 25,00 Limite1l'Energy/Commercial $ 45.00 Minimum Eleetric Permit Inspection Fee is $45.00 + Surchal'l!es 4.1 SUBTOTALOFABOVB 149,00 V 7% State Surcharge 10"10 Administrative Fee 3.43 4.90 0/ TOTAL 57,33 _ ATIACHMENTA CITY O~NGFIELD SYSTE~ DEVELOPMEJff CHARGE .SHEET JOURNAL OR JOB NUMBER COM2004-00666 NAME OR COMPANY: Citizen's Bank LOCATION: 2073 OLYMPIC MAP & TAX LOT NUMBER: 1703254201100 DEVELOPMENT TYPE: REMODEL FOR general office to S"_It bank BRANCH NEW DEVELOPED AREA (S,F,): 767,66 EXISTING DEVELOPED AREA (S,F,): TOTAL IMPERVlOUS SURFACE (S,F,): ITE: ITE: LOT SIZE (S,F,): 710 o 1 STORM DRAINAGE IMPERVIOUS SQ, IT, x S 0,290 PER SF TOTAL STORM DRAINAGE SDq $ 2 SANITARY SEWER-i':ITY A, REIMBURSEMENT COST: NUMBER OF DFU's B. IMPROVEMENT COST: NUMBER OF DFU's (SEE REVERSE SIDE) , $ , $ -I x S 22,64 PER DFU (22,64)1 $ (17,21)1 $ x S 17,21 PER DFU -I TOTAL WCAL WASTEWATER SDC:' $ . :! t t e'" t' - ~ E~- -Q.-cUo oo~ ~ 1070 1091 1092 ~NSPORTAJ]QN BLDG AREA TGSF x TRIP RATE x COST PER ADT x NEW TRIP FACTOR NEW A, REIMBURSEMENT COST: 0,768 x 11.01 x S 17,23 PER TRIP x 0,9 NTF 1$ 131,061 B. IMPROVEMENT COST: 0,768 x 11.01 x S 76,01 PER TRIP x 0,9 NTF 1$ 578,191 EXISTING A, REIMBURSEMENT COST: 0.000 x 0 x S 17,23 PER TRIP x 0 NTF 1$ B, IMPROVEMENT COST: 0,000 x 0 x S 76,01 PER TRIP x 0 NTF 1$ COPY snop THAT WAS EXISTING CLOSED "YEARS AGO", TOTAL TRANSPORTATION REIMBURSEMENT SDq $ TOTAL TRANSPORTATION IMPROVEMENTSOC:' $ $ TOTAL TRANSPORTATION SDq $ 709,25 I 131.06 1093 578,19 1094 709,25 4 SANITARY SEWER - ~ NEW: A, REIMBURSEMENT COST: NUMBER OF FEU's 0,768 x S179,79 PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0,768 x SI22.42 PER FEU 1$ EXISTING: A, REIMBURSEMENT COST: NUMBER OF FEU's 0,000 x SO.OO PER FEU 1$ B. IMPROVEMENT COST: NUMBER OF FEU's 0,000 x SO,OO PER FEU 1$ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 138,021 93,971 I I $ TOTAL MWMC REIMBURSEMENT FEE: $ TOTAL MWMC IMPROVEMENT FEE: $ MWMC ADMINISTRATIVE FEE: $ TOTAL MWMC SDC:I $ 241,991 SUBTOTAL (ADD ITEMS 1,2,3, &4) , $ 951,24 , 5 ADMINISTRA TlVF FFES' BASE CHARGE (SUBTOTAL ABOVE) S 951.24 x 5% $ 47.56 TOTAL TRANSPORTATION ADMINISTRATION FEE:' $ TOTAL SEWER ADMINISTRATION FEE:' $ 1054 138,02 1054 93,97 lOSS 10,00 1056 47,56 1078 1079 steve" w, ]!.ealA,otrl:j ]!.arY\.tS c6~t'bflif1il/l; Bank. 2073 Olympic,x1s 6/1112004 DATE TOTAL SDC CHARGES 998,80 , $ JULY 200, - . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT - DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES) Citizen's Bank FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASElOIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASHlETC, LAUNDRY TUB CWTHES WASHERlMOP SINK CWTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONIETC, RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIAL, RESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: WASH BASINIOOUBLE LA V A TORY SINK: SINGLE LA VATORYIRESIDENTIAL BAR URINAL, STALUWALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES UNIT NEW OLD EOUIV ALENT 3 I 3 3 6 2 3 6 12 I 3 2 2 3 2 2 o I 5 6 3 NUMBER OF EDU'S. TOTAL DRAINAGE FIXTURE UNITS= .EDU (Equivalent Dwelline. Unit) is 8 dischar~ eQuivalent to a sinsde familv dwelline. (20 DFU) set at '167 gallons per day DRAINAGE FIXTURE UNITS o o o o o o o o o o o o o o o o -I o o o o o o -I CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY YEAR RATE PER SI,OOO YEAR RATE PER SI,OOO ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before S 5,04 1992 S 1.52 1980 S 4,95 1993 S 1.38 1981 $ 4,88 1994 S 1.19 1982 S 4,75 1995 S 1.03 1983 S 4,58 1996 S 0,87 1984 S 4.41 1997 S 0,68 1985 S 4,20 1998 S 0.46 1986 S 3,88 1999 S 0,27 1987 S 3,50 2000 S 0,09 1988 S 3.07 2001 S 0.04 1989 S 2,60 2002 S 1990 S 2,14 2003 S 1991 S 1.71 2004 S , CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE SO,OO X 0,000 SO,OO IMPROVEMENT (IF AFTER ANNEXATION DATE) X SO,OO CREDIT TOTAL SO,OO COM2004-00666, citizen's Bank, 2073 Olympic.xls JULY 2001 . ~ jIily of Springfield Official Receipt .elopment Services Department Public Works Department 225 Fifth Street . Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 COM2004-00666 Payments: Type of Payment CreditCard 6/23/2004 RECEIPT #: 1200400000000000964 Date: 06/23/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review CommlIndJPublic Plan Review Fire & Life Safety Building Pennit -Mechanical Issuance Fee- Miscellaneous Mechanical + 7% State Surcharge + 10% Administrative Fee SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin Paid By RONALD R KREUTZ Item Total: Check Number AuthoriZation Received By Batch Number Number How Received jmp 000418 023584 In Person Payment Total: Page I of I 2:02:18PM Amount Due 43.00 6.00 44,36 27.30 253.65 10.00 45,00 24.34 34,77 131.06 578,19 138,02 93,97 10,00 47.56 $1,487.22 Amount Paid $1,487,22 $1,487,22